Emergency Medicine Cases

JUNE 2, 2020

What will happen as hospital services ramp up? Will PPE supplies be maintained? Many questions have arisen now that we are a few months into the pandemic in North America: How long will ED volumes remain low? Will staff get tired of precautions? What will happen during flu season? What mitigation strategies are available to us?

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PPE Hospitals EMS 52

RebelEM

MAY 29, 2024

VS abnormalities can drive this as well Strongly consider reversal of AC (this will typically come after control) Stopping the Bleeding PPE: these things bleed like stink. With that in mind, you want to consider placing patients into a setting where they can be frequently reassessed – perhaps SDU. This will be pretty location specific.

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PPE EMS Hospitals Wellness 96

Mind The Bleep

OCTOBER 29, 2024

Use appropriate personal protective equipment (PPE) to avoid secondary contamination. First aid done pre-hospital. Introduction Initial Assessment and Stabilization Ensure that the scene is safe for both the patient and the healthcare providers. The AMPLE framework offers a structured approach [2]. Type of chemical and strength.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

ACEP Now

SEPTEMBER 5, 2024

With elimination of CME funding in many of our hospitals and groups, it is crucial to continue to add value and communicate that value to residents before graduation. While some issues are handled locally, many issues cannot be solved in our emergency department or hospital. However, unlike 80 percent of U.S.

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Leadership PPE EMS Wellness 98

Broome Docs

MARCH 28, 2024

Is our PPE evidence-based? Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Emerg Med J. 2024 Jan 22;41(2):96-102. doi: 10.1136/emermed-2023-213285. Diekema DJ, Nori P, Stevens MP, Smith MW, Coffey KC, Morgan DJ. Resuscitation. 2023 Dec;193:109991. 2023.109991.

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PPE Ultrasounds Resuscitation Emergency Department 96

American Medical Compliance

FEBRUARY 27, 2023

Employees may go to their primary care physicians or an Urgent Care or Hospital for consultation. Elements of the hierarchy of controls include elimination, substitution, engineering controls, administrative controls, and PPE. Examples of PPE include gowns, respirators, and gloves.

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EMS PPE Administration Urgent Care 52

American Medical Compliance

AUGUST 7, 2024

According to OSHA’s report , hospitals pose significant hazards, including the risk of violence, making them among the most hazardous workplaces. Effective leaders understand that prioritizing safety not only protects employees from harm but also enhances productivity. More importantly, it boosts morale and overall business success.

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Leadership PPE Best Practices Hospitals 105

EM SIM Cases

JUNE 11, 2024

Dr Lunsford is an ER physician and Simulation Director for the Guthrie Robert Packer Hospital emergency medicine residency program in Sayre, Pennsylvania, USA. The team leader must identify the toxidrome and direct the team to early PPE use and patient decontamination. This case comes from Dr Philip Lunsford.

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Poisoning PPE Academics Resuscitation 52

Ziqitza HealthCare Ltd

OCTOBER 28, 2023

The team utilize­s hospital-grade disinfectants to effe­ctively minimize the risk of infe­ctions. Use of Personal Protective Equipment (PPE) – Ambulance staff are­ provided with Personal Protective­ Equipment (PPE) kits, which include masks, gloves, gowns, and face­ shields.

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Ambulance Services PPE Patient Safety Best Practices 52

ER Nurses

JUNE 17, 2020

You're safe where you're at and that you're not suffering from shortages of PPE. But we know what it means sit exhausted on the front lines as the world seems to deteriorate inside the hospital. Frontline healthcare workers are receiving acknowledgement from everyone these days.

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The Skeptics' Guide to EM

APRIL 17, 2021

Effect of Nebulized Magnesium vs Placebo Added to Albuterol on Hospitalization Among Children With Refractory Acute Asthma Treated in the Emergency Department: A Randomized Clinical […] The post SGEM#327: MAGNUM PA – Nebulized Magnesium for Pediatric Asthma first appeared on The Skeptics Guide to Emergency Medicine. Reference: Schuh et al.

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Pediatrics PPE Emergency Department Hospitals 52

Total Medical ComplianceHIPAA

OCTOBER 9, 2024

Clean and disinfect surfaces with an EPA registered hospital level disinfectant. Is PPE (personal protective equipment) readily available and appropriate for any existing job hazards? OSHA would expect adequate restrooms for employees. Supplies and equipment need to be inspected for any water damage.

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Hazardous Materials Infectious Diseases PPE Shock 59

EMDocs

MAY 26, 2023

Patients may be brought to hospital by police under restraint (e.g. and don PPE (ie gloves, gowns and face-masks, Kevlar sleeves) Calmly explain to the patient that restraints are being applied to ensure the safety of the patient and others. Allocate roles and state plan of action in an initial huddle.

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Pediatrics Emergency Department Psychiatric Documentation/Coding 94

Advanced Emergency Nursing from AENJ

JUNE 16, 2015

Ordinary hospital practice would be for admission orders to specify Isolation Cart, to ensure that the ward would have one delivered and restocked daily until no longer needed. This is a different issue, but you may wish to explore your expected duties and what PPE equipment will be provided you from the disaster supplies.

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PPE Infectious Diseases Emergency Nursing Operations 40

The Skeptics' Guide to EM

MARCH 7, 2020

Over the past seventeen years he has practiced as a rural emergency and family physician and Clinical Chief of Emergency at Carbonear Hospital. Background: Many hospitals had their health care workers fitted with N95 masks in response to the 2009 H1N1 pandemic. John’s, Newfoundland Canada. Paul Norman’s Disclaimer: We (Dr.

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Emergency Nursing PPE Emergency Department Administration 40

EMDocs

JUNE 14, 2023

Make sure to dispose of clothing appropriately and wear PPE to prevent personal exposure. Limit exposure with PPE if returning to the exposing environment. He was educated on wearing appropriate PPE or avoid his work environment altogether to reduce further low dose, high frequency organophosphate exposure.

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PPE Poisoning Seizures Emergency Department 89

EMDocs

JUNE 7, 2023

Decontamination and Appropriate Personal Protective Equipment (PPE) This prevents ongoing exposure to the patient and ED staff. Dispose of clothing appropriately and wear PPE to prevent personal exposure. Disposition is often admission to an intensive care unit (ICU) setting. 7 Airway management: consider early airway management.

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Poisoning Airway Management Seizures PPE 97

FEMinEM

MARCH 29, 2021

Male and female attendings alike have been overly kind and I have become an instant member of a beautiful tribe of pregnant and mothering women in medicine throughout our hospital. My patients many times have stopped to ask me how I am doing being pregnant, working on my feet all day in PPE, with COVID potentially all around me.

Leadership 52

Leadership PPE Emergency Department Hospitals 52

American Medical Compliance

AUGUST 1, 2022

The measure was created to aid hospitals and nursing homes in the care and treatment of patients with coronavirus. The COVID-19 Focused Inspection Initiative in Healthcare was made to increase the following of OSHA procedures in hospitals with high risks of exposure. Now, this initiative is active in full force. Get Certified.

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PPE Hospitals Administration 52

American Medical Compliance

MARCH 3, 2025

Provide PPE like gloves, gowns, and face shields to all at-risk staff. Improve airflow in patient rooms and isolation areas to reduce the spread of germs. Maintain a written Exposure Control Plan and update it regularly. Ensure proper use and disposal of sharps in designated containers.

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PPE Legal Issues Head Injuries Burns 103

American Medical Compliance

AUGUST 1, 2022

The measure was created to aid hospitals and nursing homes in the care and treatment of patients with coronavirus. The COVID-19 Focused Inspection Initiative in Healthcare was made to increase the following of OSHA procedures in hospitals with high risks of exposure. Now, this initiative is active in full force. Get Certified.

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PPE Administration Hospitals 52

Sensible Medicine

JULY 28, 2023

I’d been in the hospitals that were being overwhelmed and worked with the doctors who were first on the front line. ” He was masked, I wore full PPE (mask, goggles, gown, gloves, and bonnet). Only he, and one other of my patients, had even been hospitalized. 2 These contacts and experiences added to my anxiety.

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Hospitals PPE Urgent Care Academics 96

PEMBlog

DECEMBER 4, 2024

Greater than 50 percent of kids under 12 months of age with pertussis could require hospitalization. Infants with apnea, cyanosis, or feeding difficulties should obviously be admitted to the hospital. As a clinician, Just ask yourself, did you wear appropriate PPE, mask and goggles? So management starts with supportive care.

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Pediatrics PPE Wellness Infectious Diseases 52

Don't Forget the Bubbles

AUGUST 29, 2023

In the emergency department, we were working our way through tonnes of PPE, masks, aprons, and gloves. Mike told his story and then told us about an initiative he’d brought into the Children’s Hospital where he worked—the NHS Rainbow Badge. We were in lockdown. We were exhausted. Our patients were scared. Headlines were terrifying.

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PPE Research Emergency Department Urgent Care 98

EB Medicine

DECEMBER 1, 2018

They also estimate that an epidemic is responsible for 3 million hospitalized days and 31 million outpatient visits each year. Not surprisingly, H3N2 dominant seasons are currently associated with the highest rates of influenza cases, hospitalizations, and death. The CDC estimates that epidemics cost 10 billion dollars per year.

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Emergency Department CDC Infectious Diseases EMS 40

Don't Forget the Bubbles

AUGUST 10, 2023

Discussion points: (from DFTB, Orthobullets, EM News Blog, Royal Children’s Hospital Melbourne) What is the diagnosis? It is important to note that PPE must be worn as the blood may squirt out of the opening in the nail plate as the high pressure is released. How would you manage this injury? And when would you refer?

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Fractures Soft Tissue Injuries Emergency Department Operations 52

FEMinEM

JANUARY 26, 2021

And as he and his wife were physicians, I didn’t need to convince them of the hell that the pandemic had caused; they too had worked when patients with COVID-19 were quickly filling our hospital beds to capacity, when we were told to limit our mask use because our hospital faced shortages of personal protective equipment. We recovered.

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CDC Research Hospitals PPE 52

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. IPC for Marburg Virus Disease (MVD): PPE Part 1:PPE Basics What, When, and Why to Use PPE. Marburg Virus Disease.; Nat Rev Dis Primer.

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Infectious Diseases CDC PPE Rapid Diagnostic Testing 72